ECG and IABP Flashcards
Anterior leads and Coronary Artery
V3, V4
LAD
Inferior leads and Coronary Artery
II, III, AVF
RCA
Lateral Leads and Coronary Artery
I, AVL, V5 and V6
LCX
Septal Leads and Coronary Artery
V1, V2
LAD
Posterior Leads and Coronary Artery
V1-V4 ST Depression, Progression of Tall R waves
LCX , RCA but the Posterior Decending Artery via the RCA is most correct
Chest Leads are also known as __.
Precordial leads
Limb Leads are also known as __.
Bipolar Leads
aVR, aVL, and aVF are also known as __.
Augmented vector leads
ST elevation represents
Myocardial Injury
ST Depression represents
Ischemia
Q waves that measure >25% of the R wave represents
infarction (necrosis)
Q waves with ST elevation represents
Acute injury
Qwave with ST depression represents
indeterminate
Q wave without ST changes represents
old infarction
T waves greater than 5 mm indicate and usually occures with a serum value of >7.0
Hyperkalemia
Flattened T waves/U wave presence indicate
Hypokalemia
Delta wave (noted bump in the beginning of the QRS) indicate
This is present due to early conduction through the accessory pathway
WPW
Wolf Parkinson White
Diffuse ST elevation, PR segment depression, fever and chest pain indicate
Pericarditis
Electrical Alternans indicates
Pericardial effusion/tamponde
Sequence of the blood through the heart valves
Tricuspid, pulmonic, mitrial, aortic
TCA overdose usually presents with what on the ECG
Prolonged QT interval
Normal Serum Potassium Level
3.5-5
The IABP begins to purge during ascent, triggering mechanism for this function initiated as a result of which gas law
Boyles Law
Most common site that will be dislodged when treating your IABP
Left Radial
Rust colored flakes in the IABP tubing indicate
Ruptured balloon
Primary trigger of the IABP
R wave on the ECG
Most potentially harmful timing error in the IABP
late deflation
If a loss of power occurs, what do you do to the IABP
inflate and deflate the balloon every 30 minutes
ECG findings indicating possible PE
S1Q3T3, Right axis, right bundle branch block, inverted T waves in V1-V4
Pericarditis ECG finding
ST elevation in multiple lead with a concave ST segment instead of a straight/convex as in MI,ST depression in AVR, PR depression in Lead II, and presents with a fever
Endocarditis is caused by what type of pathogen
bactereal, often after valvular repair and surgery, inflamation of the inner walls of the heart
Pericarditis/myocarditis is caused by what type of pathogen
Viral, caused by recent viral infection and involve inflammation of their respective prortion of the heart
Any polymorphic VT should receive
Mag 1-2 G IV over 5-60 minutes 0.5-1 G/hr and titrate